Active NPI
Carolyn L Harestad
- Speech-Language Pathologist
- Federal Way, WA
National Provider Identifier
1487876702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CAROLYN L HARESTAD
- Practice address
- 33515 10 PL So
Building 13
Federal Way, WA 98003-7300 - Phone
- (253) 874-2599
- Fax
- (253) 874-2392
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn L Harestad, MA CCC S
- Title
- Owner
- Phone
- (253) 874-2599
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | WA | Primary | |
| Audiologist-Hearing Aid Fitter | 237600000X | WA |
Addresses
Primary practice location
33515 10 PL So
Building 13
Federal Way, WA 98003-7300
Mailing address
33515 10 PL So
Building 13
Federal Way, WA 98003-7300
Phone (253) 874-2599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7077159 | Medicaid | WA | |
| 9042326 | Medicaid | WA | |
| 7077167 | Medicaid | WA |
Other names 1
- C C Manning PhD and Associates
National Provider Directory
National Provider DirectoryLocations
33515 10th Pl S
Ste 13
Federal Way, WA 98003
Phone (206) 874-2599
2607 Bridgeport Way W
#B
University Place, WA 98466
Phone (253) 460-5088
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Federal Way, WA
- NPI 1427197730
-
- Speech-Language Pathologist
- Federal Way, WA
- NPI 1205975612
-
- Audiologist
- Lockhart, TX
- NPI 1891837464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1487876702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33515 10 PL SO",
"address_2": "BUILDING 13",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037300",
"telephone_number": "253-874-2599",
"fax_number": "253-874-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33515 10 PL SO",
"address_2": "BUILDING 13",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037300",
"telephone_number": "253-874-2599",
"fax_number": "253-874-2392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN L HARESTAD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HARESTAD",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-874-2599",
"authorized_official_credential": "MA CCC S"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7077159",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9042326",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7077167",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "C C Manning PhD and Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.